Effects of a preceptorship programme on turnover rate, cost, quality and professional development

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1、NURSINGWORKFORCEEffectsofapreceptorshipprogrammeonturnoverrate,cost,qualityandprofessionaldevelopmentTso-YingLee,Wen-ChiiTzeng,Chia-HueiLinandMei-LingYehAimandobjectives.Thepurposeofthepresentstudywastodesignapreceptorshipprogrammeandtoevaluateitseffectsonturnoverrate,tur

2、novercost,qualityofcareandprofessionaldevelopment.Background.Ahighturnoverrateofnursesisacommonglobalproblem.Howtoimprovenurseswillingnesstostayintheirjobsandreducethehighturnoverratehasbecomeafocus.Well-designedpreceptorshipprogrammescouldpossiblydecreaseturnoverratesand

3、improveprofessionaldevelopment.Design.Aquasi-experimentalresearchdesignwasused.Methods.First,apreceptorshipprogrammewasdesignedtoestablishtheroleandresponsibilitiesofpreceptorsininstructingnewnurses.Second,aquasi-experimentaldesignwasusedtoevaluatethepreceptorshipprogramm

4、e.Dataonnewnursesturnoverrate,turnovercost,qualityofnursingcare,satisfactionofpreceptorsteachingandpreceptorsperceptionweremeasured.Results.Afterconductingthepreceptorshipprogramme,theturnoverratewas46Æ5%lessthanthepreviousyear.TheturnovercostwasdecreasedbyUS$186,102.Addi

5、tionally,medicationerrorratesmadebynewnursesdroppedfrom500%andincidentratesofadverseeventsandfallsdecreased.Allnewnursesweresatisfiedwithpreceptorguidance.Conclusions.Thepreceptorshipprogrammeeffectivelyloweredtheturnoverrateofnewnurses,reducedturnovercostsandenhancedthequ

6、alityofnursingcare,especiallybyreducingmedicationerrorincidents.Positivefeedbackabouttheprogrammewasreceivedfromnewnurses.Relevancetoclinicalpractice.Studyfindingsmayofferhealthcareadministratorsanotheroptionforretainingnewnurses,controllingcosts,improvingqualityandfosteri

7、ngprofessionaldevelopment.Inaddition,incentivesandeffectivesupportfromtheorganisationmustbeconsideredwhenpreceptorsperformpreceptorshipresponsibilities.Keywords:preceptorship,professionaldevelopment,qualityofcare,turnovercost,turnoverrateAcceptedforpublication:12August200

8、8fouryearsearlier(HealthResourceandServicesAdministra-Introductiontion.BureauofHealthProfessions